Healthcare Provider Details

I. General information

NPI: 1932011384
Provider Name (Legal Business Name): HOLLY KATE NORTH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13812 HARRIS RIDGE BLVD UNIT B
PFLUGERVILLE TX
78660-9026
US

IV. Provider business mailing address

13812 HARRIS RIDGE BLVD UNIT B
PFLUGERVILLE TX
78660-9026
US

V. Phone/Fax

Practice location:
  • Phone: 972-351-7620
  • Fax:
Mailing address:
  • Phone: 972-351-7620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number109876
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: